| James J Jennings Md Llc | |
|
11921 South Dixie Hwy Ste. 201 Pinecrest FL 33156 | |
| (786) 868-0503 | |
| (786) 524-0956 |
| Full Name | James J Jennings Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11921 South Dixie Hwy, Pinecrest, Florida |
| Authorized Official Name and Position | James Joseph Jennings (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3058031519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James J Jennings Md Llc 11921 South Dixie Hwy Ste. 201 Pinecrest FL 33156 Ph: (786) 868-0503 | James J Jennings Md Llc 11921 South Dixie Hwy Ste. 201 Pinecrest FL 33156 Ph: (786) 868-0503 |
| NPI Number | 1326514167 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 7012240864 |
|---|---|
| Medicare Enrollment ID | O20190610002050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326514167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James J Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710929930 PECOS PAC ID: 7315977782 Enrollment ID: I20050816000282 |
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